[Hiring] Revenue Integrity Analyst II @Hartford HealthCare Corp.

Role Description

This position contributes and supports Revenue Integrity's mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and the charge improvement process. It is an integrated approach that guides the Hartford HealthCare (HHC) organization toward achieving operational efficiency, complete regulatory compliance, and total reimbursement.

This role supports HHC outpatient departments that includes hospitals services for a variety of revenue generating clinical departments.

Under the direction of the Manager Revenue Integrity Analyst – Clinical Liaison, the Revenue Integrity Analyst II plays a key role in tasked with improving revenue results. This position is integral to the Revenue Integrity Team to assist in ensuring charging accuracy, for patient services and appropriately coded supported by clinical documentation so the related revenue is recorded in the proper department. In turn, this promotes revenue enhancement and compliance with laws and regulations with feedback and education to the hospital departments as needed.

This position requires highly technical coding skills with an emphasis in billing to handle complex outpatient hospital accounts. Requires having regulatory knowledge as it related to hospital outpatient services. Familiarity with Medicare’s OPPS payment system.

Qualifications

• Minimum: Bachelor’s degree with health management or financial emphasis and/or health services or equivalent experience.
• Preferred: Bachelor’s Degree or equivalent Healthcare experience.
• Ten (10) years of progressive on-the-job coding and health care experience in an acute care hospital.
• Minimum: Certified Coder (CCS, CPC, etc.).
• Preferred: Certified Healthcare Revenue Integrity (CHRI).
• English - Strong written and verbal communication skills.

Requirements

• Requires the ability to manage large complex projects assignments, investigate, analyze, and resolve issues at an important level.
• Excellent communication, presentation, organizational, analytical, and critical thinking skills.
• Must approach problem-solving challenges independently, have strong attention to detail and enjoy working in a fast-paced, collaborative team-based environment.
• Extensive knowledge of revenue cycle processes and hospital/medical billing to include CDM, UB, and Ras.
• Extensive knowledge of code data sets to include CPT, HCPCS, and ICD 10.
• Extensive knowledge of NCCI edits, and Medicare LCD/NCDs.
• Extensive understanding of reimbursement theories to include OPPS, MPFS, and managed care.
• Extensive working knowledge of health care compliance.
• Extensive understanding of medical terminology, anatomy, and physiology along with clinical department activities.
• The ability to work with and interpret detailed medical record documents and communicate effectively with physicians, nursing staff, leadership, and other billing personnel.

Benefits

• Competitive benefits program designed to ensure work/life balance.
• Exciting opportunities for career development and growth.